Title Page

  • Property Name

  • Location
  • Primary Site Contact Name and Title

  • Primary Site Contact Phone Number and Email

  • Secondary Site Contact Name, Title, Phone Number

  • Conducted on

  • Prepared by

1

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

2

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

3

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

4

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

5

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

6

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

7

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

8

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

9

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

10

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

11

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

12

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

13

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

14

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

15

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

16

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

17

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

18

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

19

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

20

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

21

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

22

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

23

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

24

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

25

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

26

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

27

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

28

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

29

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

30

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

31

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

32

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

33

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

34

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

35

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

36

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

37

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

38

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

39

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

40

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

41

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

42

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

43

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

44

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

45

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

46

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

47

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

48

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

49

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

50

  • Pictures ( At least 3)

  • Floor Number

  • Location

  • Existing Fixture

  • Existing Lamp Base

  • Existing Lamp Wattage

  • Lamps Per Fixture

  • Fixture Count

  • Hours of Operation

  • Emergency Ballasts?

  • Emergency Fixture Count

  • Mechanical Cooling-A/C?

  • Lift Required?

  • Notes

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.